PROFORMA INVOICE

MESSRS. Invoice No. PI-B211224

CUARTA DIMENSION MEDICA S.L Invoice Date 23-Dec-2021
C / BARONESA SANTA BARBARA 28 Port of Loading: HONG KONG
46740 CARCAIXENT Final Destination: LA ALCUDIA, SPAIN
VALENCIA, SPAIN Terms of Payment: T/T IN ADVANCE
ATTN: JOSE CORCHERO Ship via: BY AIR VIA DHL
TEL: 910020252 PO Reference:
MOBILE: 673106104 Shipped to. 4D MEDICA
EMAIL: 4dmedica@4dmedica.com (CUARTA DIMENSION MEDICA SL)
VAT NR: ESB98344815 (SAME AS BELOW)
Marks &
No. of Description of Goods Quantity Unit Price Amount
PKGS
FCA HONG KONG

ULTRASOUND SCANNER CTS-800 1 UNIT USD 1,600.00 USD 1,600.00

WITH L7FVC
FREIGHT CHARGE 1 SET USD 150.00 USD 150.00
OVERSEAS BANKING CHARGE 1 SET USD 60.00 USD 60.00

SHIPPED TO: 4D MEDICA (CUARTA DIMENSION MEDICA SL)

C/LLAURADORS 8, P.IND CAMI REIAL
46250 - LA ALCUDIA - VALENCIA - SPAIN
ATTN: JOSE CORCHERO
MOBILE: 34 673106104

SAY: US DOLLARS ONE THOUSAND EIGHT HUNDRED AND TEN ONLY.

E.&O.E. TOTAL: USD 1,810.00
Remarks:
1.OUR BANK INFORMATION:
BENEFICIARY BANK: THE HONGKONG & SHANGHAI BANKING CORPORATION LTD
SWIFT CODE: HSBCHKHHHKH
BENEFICIARY BANK ADD: 71-85B HENNESSY ROAD,WANCHAI, HONG KONG
BENEFICIARY NAME: SIUI HONG KONG
BENEFICIARY ADD: RM 2101, TUNG CHIU COMMERCIAL CENTRE, 193 LOCKHART ROAD, WANCHAI, HONG KONG
BENEFICIARY A/C NO.: 813-030863-838 (USD)
PLEASE INCLUDE THE INVOICE NUMBER( PI-B211224 ) IN YOUR PAYMENT MESSAGE.
2. DELIVERY: TWO WEEKS AFTER FULL PAYMENT.
3. QUOTATION VALIDITY: TILL JAN 23, 2022 (FOR GOODS ONLY)
4. ORIGIN IS CHINA AND MANUFACTURED BY SHANTOU INSTITUTE OF ULTRASONIC INSTRUMENTS CO., LTD.
5. PLEASE SIGN TO CONFIRM THE ACCEPTANCE OF THIS PI
6. THE PI WILL BE CONSIDERED AS A VALID CONTRACT AGREED BY BOTH PARTIES, ONCE PAYMENT IS WELL RECEIVED

THE BUYER： THE SELLER：

Kiko Ramos. December 24th 2021.

Authorized Signature
香港灣仔駱克道193號東超商業中心2101室
Rm 2101, Tung Chiu Commercial Centre, 193 Lockhart Road, Wanchai, HK Tel: (852) 2891 6722 Fax: (852) 2891 6723